Root Cause to Revenue: Winning the Battle Against DRG Downgrades
Wednesday July 29, 2026 at 11:00 AM PT | Register Now
What’s Draining Your Revenue Beyond Payer Denials—and How to Stop It Wednesday May 6, 2026 at 11:00 AM PST PresidentCorroHealthVice President Revenue Cycle ManagementUHSSr. Director of Clinical Revenue Operations and Care ManagementUHSMargins are shrinking. Medicare...
Everyone Has AI. Few Systems Show Clinical Intelligence. Thursday, April 2, 2026, 11:00am PT Senior Vice President of Product ManagementClinical Performance SpecialistAI is everywhere in clinical documentation integrity (CDI), but outcomes haven’t always kept pace...
Charting the Course: Leading Hospitals Through CMMI’s Seismic Shift February 19, 11:00 AM PSTWith shifting regulations and increasing technical complexity, hospitals and health systems face constant pressure to maintain compliance. In this session, Vice President of...
From Defense to Offense: Strengthen Your Denials Management Strategy December 3, 2025, 11:00 AM PSTDenials are on the rise, but not all denials are created equal. With mounting payer obstacles, regulatory complexity and staffing constraints, hospitals need smarter...
Beyond the Hype: How AI and GenAI Are Transforming CDI September 16, 2025, 11:00 AM PST Artificial intelligence is everywhere in healthcare but when it comes to clinical documentation integrity (CDI), the terms “automation,” “AI,” and “GenAI” are often used...
Price Transparency in 2025: What’s Required, What’s Coming, What to Do Now July 16, 2025, 11:00 AM PST Hospitals are facing mounting expectations around price transparency. But shifting regulations, incomplete guidance, and technical complexity make compliance a...
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E1: State of the Industry
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E2: UM and Peer-to-Peer
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E3: Denials
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E4: CDI + CMI
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Session 1: Payer Escalation Strategies →
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Session 2: DRG Downgrades →
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Session 3: Denials Management →
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Session 4: Your Questions Answered →
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Why Is AI Adoption Outpacing Hospital AI Readiness? As artificial intelligence moves deeper into healthcare, many hospital leaders find themselves facing a new kind of pressure. AI has quickly become a marker of innovation and a proxy for overall hospital AI...
The New Economics of Healthcare Reimbursement What’s Driving the Pressure on Healthcare Reimbursement Models? The traditional healthcare reimbursement model is under pressure and health system leaders know it. National health expenditures grew 7.2% in 2024, reaching...
Hidden Denials: The Revenue Loss Your 835 Will Never Show You Most health system revenue cycle leaders believe they have a handle on their denials problem. They track denials rates. They report on overturn percentages. They run monthly dashboards that show the total...
How AI in Healthcare Revenue Cycle Management Reclaims Time for Care Hospitals and health systems continue to face rising operational pressure. Patient volumes remain high, clinical staffing is tight, and administrative complexity grows every year. At the same time,...
Hospitals Race to Keep Pace as Payers and AI Reshape Denials Hospitals Race to Keep Pace as Payers and AI Reshape Denials Denials have become one of the defining pressure points in healthcare finance. Across hospitals and health systems, claims teams are balancing...
Medical Coding’s AI Moment Has Arrived Medical Coding’s AI Moment Has Arrived Despite the attention surrounding AI in healthcare, much of medical coding still relies on highly manual workflows. Coders continue to work through charts line by line, managing growing...
Hospitals Can’t Afford to Treat Self-Pay as an Afterthought Where a patient chooses to seek care is no longer shaped by clinical reputation alone. Financial experience, from the first price estimate to the final statement, now factors into that decision. For...
How Hospital Leaders Can Turn Data into Stronger Contracts Data analytics now play a central role in healthcare contract negotiations, shaping not just how contracts are structured but how well they hold up once they are in practice. There is little margin for...
Payers Are Not Making Mistakes. Is Your Strategy Keeping Up? Hospitals and health systems are losing money on claims they believed were billed correctly. A claim comes back lower. The case lands on a downgraded DRG. The gap disappears into a pattern that continues to...
Why Clinical Intelligence Sets AI Apart in Healthcare Why are DRG downgrades still rising even as AI adoption grows? The answer points to a deeper problem than most AI vendors acknowledge: technology alone does not produce clinical accuracy. Denials keep climbing,...
